对加强原发性骨质疏松症的基层防控和多级转诊的思考  

Reflections on enhancing primary-level prevention and control of primary osteoporosis and multi-level referral system

作　　者：张浩[1] 曾玉红[2] Zhang Hao;Zeng Yuhong(Department of Osteoporosis and Bone Disease,Shanghai Sixth People′s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai Clinical Research Center of Bone Diseases,Shanghai 200233,China;Department of Osteoporosis,Honghui Hospital,Xi′an Jiaotong University,Xi′an 710054,China)

机构地区：[1]上海交通大学医学院附属第六人民医院骨质疏松和骨病专科,上海市骨疾病临床研究中心,上海200233 [2]西安交通大学附属西安市红会医院骨质疏松科,西安710054

出　　处：《中华内分泌代谢杂志》2024年第9期734-739,共6页Chinese Journal of Endocrinology and Metabolism

摘　　要：我国骨质疏松症的基层防治建设起步较晚,基层规范化防控的效果有待进一步提高。针对社区居住绝经后女性骨质疏松性椎体骨折的观察性、横断面研究结果显示,在社区层面存在筛查率低、知晓率低、诊断率低、治疗率低等问题,提示骨质疏松症的防治应从社区层面就给予重视。对如何加强原发性骨质疏松症的基础管理并推动多级联动,来自全国各地的15名专家展开了热烈讨论。现将讨论内容汇总成文。The development of primary-level prevention and control of osteoporosis in China has started relatively late,and the effectiveness of standardized prevention and control at the grassroots level requires further improvement.Observational and cross-sectional studies focused on postmenopausal women with osteoporosis vertebral fracture in community settings reveal issues such as low screening rates,low awareness,low diagnosis rates,and low treatment rates.These findings highlight the importance of addressing osteoporosis prevention and treatment at the community level.In response,15 experts from across the country engaged in an intensive discussion on how to enhance the basic management of primary osteoporosis and promote multilevel referral.This article summarizes the discussion.

关 键 词：骨质疏松症 基层防治 关口前移 多级转诊 

分 类 号：R580[医药卫生—内分泌]